Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jade Physical Therapy & Wellness Inc

Organization Physical Therapy Clinic/Center · NPI 1609258128

Jade Physical Therapy & Wellness Inc is a Physical Therapy Clinic/Center in Pasadena, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1575 N Lake Ave Ste 205
Pasadena, CA 91104-2340
Phone: (626) 566-8332
Fax: (888) 624-7542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 41255 (CA)

Record details

NPI number1609258128
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fernando Soutullo — President · (626) 566-8332
NPI enumeratedJune 20, 2015
Last updated in NPPESAugust 21, 2015
Mailing address819 Wright Ave, Apt 28, Pasadena, CA 91104-4474

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